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Sending University Records to Off-Site Storage Form Instructions

Your Name Name of the person transferring the records.
Your E-mail Address E-mail address of person transferring the records.
Telephone Extension Contact phone number for person transferring records
Request Date Today's Date.
Department or Office The name of the department or office that is sending the records.
Retrievex Account Number Retrievex Account Number for the office or department being charged for services.
Current Location: Building Name of the building where records are stored.
Current Location: Floor The floor number, if appropriate, where the records are stored.
Current Location: Room The room number where records are stored.
Retrievex Barcode Number Retrievex barcode number attached to box. Each box has its own barcode number.
Alternative Box Number Any internal tracking number or description assigned to the box by the office or department transferring it.
Destruction Date Figure out the specific destruction date for this box from the retentions schedule for the appropriate series. A destruction date must by designated. Please contact Eliot Wilczek if you need assistance in determining this date.
Records Series Indicate which records series the materials in this box are part of. Refer to the online schedules for assistance.
Container Contents Indicate the Alpha-Numeric Sequence (examples: A-H, Adams-Smith, 001-150) AND the Date Range of the records (examples: FY95/96-FY98/99, Dec98-Feb99).